HIT 214 Outpatient Procedure Coding/Reporting

Lecture: 1 Lab: 3 Clinic: 0 Credits: 2

This course covers application of coding and reporting standards as they apply to Current Procedural Terminology (CPT) guidelines and principles. Emphasis is placed on application of the coding guidelines, in relation to anatomy and physiology, for ambulatory healthcare settings. Upon completion, students should be able to assign CPT/HCPCS procedural codes according to official guidelines and evaluate compliance with regulatory requirements and reimbursement methodologies.

Pre-requisite(s): HIT 211 with a grade of C or better.
Course is typically offered in Spring.
Student Learning Outcomes (SLOs)
At the completion of the course, the students should be able to do the following:

Summarize the purpose and use of the CPT coding system.
Examine the relationship between patient documentation and accurate coding.
Apply concepts related to CPT coding methodology.
Apply CPT guidelines to accurately assign and sequence outpatient procedure and service codes.
Apply HCPCS coding guidelines to assign and sequence procedure codes for outpatient procedure and services.
Apply coding requirements and billing and reimbursement processes for outpatient procedure services.
Describe the importance of quality clinical data for correct code assignment.
Assess ethical coding guidelines in the prevention of fraud and abuse.